Lead extraction procedure to remove ra and rv leads due to malfunction.Rv lead was extracted successfully with use of an lld and 14f and 16f glidelight laser sheaths.Physician used a 16f glidelight and an lld to attempt ra lead removal.Traction/counter-traction was applied to the ra lead for several minutes, and during this time the patient's blood pressure began to drop.Pressers were given, patient stabilized and ra lead eventually dislodged and was extracted through the laser sheath.Laser sheath was then removed from the patient.During closing of the pocket site, it was noted that the patient's blood pressure was again dropping.At this point, surgeon was called; rescue efforts commenced and it was suspected that there was a very small hole in the ra that led to the bleeding and eventually closed off.Patient survived procedure.
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